Fellows Club Ambulance Service

LBN: Fellows Club Volunteer Fire Dept
Fellows Club Ambulance Service is an health care organization with primary practice located at 1015 Strawberry Alley , Conneautville PA 16406. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Fellows Club Volunteer Fire Dept can be contacted via phone (814) 587-2876, or through Carless, Gerald F via phone (814) 587-2876.

Contact Information

Primary practice address
1015 Strawberry Alley Conneautville PA 16406
Fax:
Website:
Authorized official contact:
Name: Carless, Gerald F

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1962422550
LBN Legal business name Fellows Club Volunteer Fire Dept
DBA Doing business as Fellows Club Ambulance Service
Authorized official Carless, Gerald F
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 21st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962422550 NPPES
Pennsylvania Other 336903 HEALTH AMERICA
Pennsylvania Other 50149 HEALTH AMERICA
Pennsylvania Other 0015664520003 HEALTH AMERICA
Pennsylvania MEDICAID 0015664520003 HEALTH AMERICA

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